<p>BACKGROUND: HIV-associated
psoriasis is well-documented. Genetic, cellular, and
cytokine profiles have been used as evidence to suggest
psoriasis activates
antiviral pathways. There has been a lack of epidemiologic evidence investigating whether
psoriasis patients have lower HIV viral counts compared to non-
psoriasis patients.</p> <p>OBJECTIVE: Compare the viral load set point of HIV positive patients with and without
psoriasis.</p> <p>METHODS: A retrospective matched cohort study of HIV positive patients with and without
psoriasis using the Kaiser Permanente Southern California Health Plan database.</p> <p>RESULTS: We identified 101 HIV-positive
psoriasis cases; 19 met inclusion criteria and were matched with 3-5 control patients; 94 total patients were analyzed. The mean age was 41.4 (12.07) years and 83% were male. Overall, the median log of the viral load of cases was slightly higher than controls (4.3 vs 4.2; P less than 0.01).</p> <p>CONCLUSIONS: The serum viral load set point of patients with HIV and
psoriasis was slightly higher than the viral load set point of HIV patients without
psoriasis.</p> <p><em>J Drugs Dermatol. 2017;16(4):372-377.</em></p>.